Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Radiant Recharge LLC

Organization Community Health Registered Nurse · NPI 1366204927

Radiant Recharge LLC is a Community Health Registered Nurse in Port St Lucie, Florida. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
5
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

466 SW Port St Lucie Blvd Ste 114
Port St Lucie, FL 34953-2091
Phone: (772) 837-0500
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Home Health Registered Nurse (primary) Taxonomy 163WH0200X
Community Health Registered Nurse Taxonomy 163WC1500X
Phlebotomy Technician Taxonomy 246RP1900X
Nursing Care Agency Taxonomy 251J00000X
Public Health or Welfare Agency Taxonomy 251K00000X

Record details

NPI number1366204927
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jessica Frazier — Coo · (309) 712-1815
NPI enumeratedJanuary 29, 2024
Last updated in NPPESJanuary 29, 2024
Certification dateJanuary 29, 2024
Mailing address6124 Nw Butterfly Orchid Pl, Port St Lucie, FL 34986-3224

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